Ambulatory Nurse BWH

Brigham and Women's Hospital; Boston (MA); On-site; USD 57,000 - 146,000; Full time

Job summary

Brigham and Women's Hospital is seeking registered nurses for ambulatory clinics in Boston. Roles involve on-site patient care in multiple specialties, including allergy, cardiology, endocrine/weight management, neurology, transplant, and primary care.

Responsibilities include triage by phone, direct patient interactions, and collaboration with physicians, PAs, and NPs to ensure safe, effective care. Candidates should have MA RN licensure, with a BSN preferred for new grads, and at least 2 years

Qualifications

• Graduate of an approved school of nursing with current Massachusetts registration.
• Bachelor of Science in Nursing is required for newly licensed nurses.
• Minimum of 2 years of ambulatory clinic nursing experience.
• Experience with telephone triage as a primary responsibility.
• Experience in in-person triage and clinical assessment of adults within the last 4 years.
• Experience in an ambulatory medical specialty or primary care setting preferred.
• Willing to work weekend rotation per MNA contract.

Responsibilities

• Assess, plan, implement and evaluate a patient care plan for assigned patients.
• Maintain clear and concise communication with the care team.
• Document care according to nursing standards.
• Develop discharge plans and educate patients and families.
• Administer medications safely and perform nursing procedures.
• Collaborate with other disciplines and participate in quality initiatives.
• Provide telephone triage and patient education.

Skills

Telephone triage

Nursing assessment

Patient communication

Clinical procedures

Education

Massachusetts RN registration

BSN required for new grads

Job description

Site: The Brigham and Women's Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Ambulatory Nursing opportunities

We anticipate needs in the following areas:

• Allergy/ Clinical Immunology
• Cardiology
• Endocrine/ Weight Management
• Lung Center
• Neurology
• Transplant
• Primary Care

These roles based in ambulatory clinics, and Staff Nurses work includes on-site work schedules, interacting with patients in-person and on-line, frequent collaborative work with providers including MD's, PA's, NP's to ensure the best and most appropriate care is delivered.

Each role entails telephone triage. This is the safe, effective, and appropriate disposition of health-related problems and includes: assessing the severity of symptoms, communicatingurgent patient needs to the LIP, referral to appropriate setting or level of care, documenting interventions and an individualized plan of care using an EMR, education of patients and families on their disease process and interventions to promote health and well-being, preliminary interpretation of data, providing home health advice and follow-up, ability tomake triage decisions quickly and calmly in emergency situations, and assuring continuity of care.

Summary

The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor.

Essential Functions

-CLINICAL PRACTICE

Organization of Patient Care

• Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment.
• Sets priorities when organizing care for patients with varying acuity.
• Maintain continuity through clear and concise (verbal and written) communication.
• Demonstrates appropriate knowledge of growth and development of the adult and geriatric patient. In areas, such as the NICU and Obstetrics the principals of growth and development are applicable to the neonate.

-Quality of Care

• Documents patient care in a manner that is clear, complete, concise and in compliance with nursing documentation standards.
• Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
• Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department's documentation standards.
• Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
• Participates actively in the unit-based and organization-wide quality management and/or quality improvement programs.
• Provides a safe environment for patients, staff, family and visitors.
• Administers medication safely according to established policies and procedures.
• Performs nursing procedures safely and efficiently.
• Uses equipment safely and efficiently.
• Demonstrates awareness of potential/actual risks of infection and modes of transmission.
• Utilizes universal precautions in nursing practice.

-Coordination/Collaboration

• Interacts with patients, families, and colleagues in a professional manner.
• Collaborates with other discipline(s).
• Develops, utilizes and evaluates unit-specific standards of care.
• Upholds the A.N.A. code of ethics and acts as a role model to other staff members.
• Participates in determining and implementing goals and objectives for the unit.
• Participates in determining goals and objectives in the periodic review and evaluation.
• Serves on unit-based and organization committees and disseminates information to peers.

-Education

• Assumes responsibility for personal and professional growth through identification of own learning needs.
• Shares knowledge and experience with colleagues.
• Participates in unit-based and organization educational programs.
• Seek and accepts guidance for additional learning needs.

-Research

• Utilizes nursing research findings in clinical practice.
• Contributes to nursing and/or medical research endeavors by supporting investigators.

-Budget

• Utilizes time and materials in an effective and economical manner.
• Provides suggestions which support the delivery of cost-effective health care.
• Assesses patient's acuity accurately when making decisions regarding staffing, transfers and assignments.
• Demonstrates awareness of the need to manage within established budgetary boundaries.

-Personnel

• Participates in the orientation of new staff members, students and others as appropriate.
• Provides input into the clinical evaluation of other staff, as appropriate.
• Assumes responsibility for the unit in the absence of leadership personnel.
• Adheres to hospital and nursing policies and aids in their interpretation to others.
• Recommends change in policies and procedures through appropriate channels.
• Participates in the cooperative effort and peer support required for the smooth running of the unit, e.g., flexibility in relation to patient assignments, shift assignment, or work schedule.

Qualifications

To qualify you must have:

Education

• Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses.

Experience

• 1. Minimum of 2 years of recent (within 12 months) clinical nursing experience in an Ambulatory Clinic/Practice setting. Experience only in an ambulatory procedural area is not sufficient.
• 2. Minimum of 2 years of nursing experience with telephone triage required, and telephone triage must be the main responsibility of this experience.
• 3. Experience with in-person triage and clinical assessment techniques of an adult patient within the last 4 years is required.
• 5. Experience in an Ambulatory Medical Specialty (not procedural) area. or Primary Care with patient care delivery as an RN is strongly preferred.
• 6. Must be comfortable with all aspects of patient care in person and via telephone.
• 7. Case Management experience preferred.

Other

• Certification or desire to obtain certification in Ambulatory Care or an ambulatory Specialty area within 2 years is preferred.
• Able to work weekend rotation per the MNA contract

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

45 Francis Street

Pay Range

$41.71 - $105.65/Hourly

Grade

MNA333

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.